Building a Transdisciplinary Approach to Palliative Care in an Acute Care Setting
Building a Transdisciplinary Approach to Palliative Care in an Acute Care Setting
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在急性护理环境中建立姑息治疗的跨学科方法
DOI：
10.2190/om.67.1-2.e
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Stephen Chavez Matzel
中科院分区：
文献类型：
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作者：
D. Daly;Stephen Chavez Matzel
跨学科团队是姑息治疗和临终关怀的重要组成部分。本文将展示如何发展一个跨学科的方法，姑息治疗，结合护理，社会工作，精神护理，并在急性护理设置药房。目标包括：确定有助于急性护理环境中护理的跨学科角色;定义姑息护理模式和使命;确定患者/家庭和机构需求;以及开发姑息护理工具。方法包括需求评估和评估工具的开发，教育计划，社区资源和患者满意度调查。实施1年后，跨学科姑息治疗团队由7名姑息治疗医生、2名社会工作者、2名牧师、1名药剂师和接受过临终护理联盟（ELNEC）培训的护士组成。Palomar Health现在有一个姑息治疗服务，为患有晚期慢性疾病的成人重症监护患者提供跨学科沟通和干预的一致过程。
A transdisciplinary team is an essential component of palliative and end-of-life care. This article will demonstrate how to develop a transdisciplinary approach to palliative care, incorporating nursing, social work, spiritual care, and pharmacy in an acute care setting. Objectives included: identifying transdisciplinary roles contributing to care in the acute care setting; defining the palliative care model and mission; identifying patient/ family and institutional needs; and developing palliative care tools. Methods included a needs assessment and the development of assessment tools, an education program, community resources, and a patient satisfaction survey. After 1 year of implementation, the transdisciplinary palliative care team consisted of seven palliative care physicians, two social workers, two chaplains, a pharmacist, and End-of-Life Nursing Consortium (ELNEC) trained nurses. Palomar Health now has a palliative care service with a consistent process for transdisciplinary communication and intervention for adult critical care patients with advanced, chronic illness.